Revisiting Choosing Wisely Recommendations in Adult Hospital Medicine

A professional society makes new recommendations to mitigate low-value care practices.

Launched in 2012 to lessen low-value clinical care practices, the American Board of Internal Medicine Foundation's Choosing Wisely campaign, in collaboration with 80 specialty societies (including the Society of Hospital Medicine [SHM]), has generated more than 500 recommendations. Although clinician awareness has increased, changing practice has been more difficult — fear of malpractice and presumed patient expectations are reasons for some excessive testing and overtreatment.

Using a patient-friendly questionnaire sent to clinicians and patients, the SHM's High Value Care Committee joined with patient advocates to solicit examples of low-value care practices; each of the 1265 examples was categorized by theme and scored on strength of evid…

Reviewing Author

Andrew S. Parsons, MD, MPH

Disclosures

Consultant/Advisory BoardNEJM Healer Advisory Group; Aquifer Clinical Excellence; NBME Clinical Reasoning

Grant/Research SupportSouthern Group on Educational Affairs (SGEA)

Editorial BoardsDiagnosis

Leadership Positions in Professional SocietiesUndergraduate Medical Education (UME) Section Chair, Southern Group on Educational Affairs (SGEA); Chair of Early Career Physicians, American College of Physicians (ACP), Virginia Chapter

Andrew S. Parsons, MD, MPH

Disclosures

Consultant/Advisory BoardNEJM Healer Advisory Group; Aquifer Clinical Excellence; NBME Clinical Reasoning

Grant/Research SupportSouthern Group on Educational Affairs (SGEA)

Editorial BoardsDiagnosis

Revisiting Choosing Wisely Recommendations in Adult Hospital Medicine

Topics

Reviewing Author